Aleriza J Shamsipour-Azbari, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7513 Issued in OR

Practice address

7325 SW Barnes Rd
Barnes Dental LLC
Portland, OR 97225-6119

Phone

(503) 297-8866

Fax

(503) 384-9366

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barnes Dental LLC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1396912010
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962412049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 SW BARNES RD",
            "address_2": "BARNES DENTAL LLC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256119",
            "telephone_number": "503-297-8866",
            "fax_number": "503-384-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 SW BARNES RD",
            "address_2": "BARNES DENTAL LLC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256119",
            "telephone_number": "503-297-8866",
            "fax_number": "503-384-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSIPOUR-AZBARI",
        "first_name": "ALERIZA",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158908",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofya Shalmiyev
• Debra Shamblin
• Bejian Shamloo, D.C.
• Shamrock Medical Inc
• Jamshid Shams
• Lurlene Nafizah Shamsud-Din, M.S., CADC
• Maya Shamsuddin, DC
• Albert Yuh Chyuan Shan, M.D.
• Steven Shanab, MD
• Alison Shanahan

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.